Individual
KARLA I NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
78 KILSYTH RD APT 5, BRIGHTON, MA 02135-7824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2291729
MA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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